DR. SALLY JEAN SMITH M.D. - NPI 1104971746

Q: What is Sally Smith's NPI number?

The NPI number for Sally Smith is 1104971746. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Sally Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Smith was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Sally Jean Smith M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALLY JEAN SMITH M.D. (NPI 1104971746) is an individual pediatrics provider in Ventura, California, licensed in California (C51395) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104971746

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SALLY JEAN SMITHCredential: M.D.

Location Address2755 LOMA VISTA RDVentura, CA 93003-1544

Mailing Address2755 Loma Vista RdVentura, CA 93003-1544 · (805) 477-9922 · Fax (805) 477-9937

Phone(805) 477-9922

Fax(805) 477-9937

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1104971746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · C51395

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2755 LOMA VISTA RD, Ventura, CA 93003

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sally Jean Smith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEAN W. SMITH, MD., A MEDICAL CORPORATION

Family Medicine (Adult Medicine)